Clinical Anesthesia
Near Misses and Lessons Learned
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Beschreibung
Although near-miss situations are fortunately rare in anesthesiology, it is essential to know how to respond if these situations arise. This collection of actual cases, compiled from the author’s thirty-five plus years of practice in major metropolitan hospitals in the United States, Norway, and South Africa, is an excellent review of potential problems and solutions all anesthesiologists should be familiar with. Succinct case presentations describe a problem and the solution, with each write-up concluded by a retrospective analysis examining whether the solution used was actually the best (or only) choice. Other solutions and equally satisfactory outcomes are explored, and tips to help avoid problems altogether are presented where possible. This book may therefore serve as either an excellent review for the American Board of Anesthesiology’s oral exam or as an easy and practical way for the reader to gain familiarity with unexpected problems in clinical anesthesia.
Compiled from the author’s decades of practice in major metropolitan hospitals, this collection of cases offers an excellent review of problems – and the solutions all anesthesiologists should know. The cases are wonderfully succinct, with the problem described on one page and the solution on the next.
How do physicians learn to respond to unfamiliar, unusual situations? Medical textbooks are full of helpful information, but they usually do not address complex clinical scenarios. For anesthesiologists, problems are often encountered in the operating room where textbooks and medical journals are not readily available. Even when a text is handy, practical decisions often must be made immediately. Residents in training, recent graduates, and even the most senior anesthesiologists, learn by experience. Case c- ferences and grand rounds are held in almost every hospital so that all staff members can share in their colleague’s experiences. In this book, a c- panion to Near Misses in Pediatric Anesthesia, which was originally p- lished in 1999, John G. Brock-Utne pre sents a variety of interesting cases. Dr. Brock-Utne has a unique talent for describing real clinical dilemmas and their solutions in a concise, interesting, and entertaining manner. I have known the author for more than 30 years, and his enthusiasm for teaching our residents and medical students, combined with his outstanding abilities as a clinical anesthesiologist, are legendary at Stanford Medical Center. Those same qualities are evident in this book. I believe every reader, from the novice anesthesiologist to the most senior clinician, will bene? t from the “experiences” Dr. Brock-Utne brings to this book.
Describes dozens of actual near-miss cases, and how they were resolved
Helps readers anticipate and successfully manage both common and unusual complications in their own practices
Extremely useful as preparation for the ABA oral exam
Although near-miss situations are relatively rare in anesthesiology, it is essential to know how to respond if the situation arises. Compiled from the author’s 30+ years practice in major metropolitan hospitals in the US, Sweden and South Africa, this collection of actual cases offers an excellent review of potential problems and solutions all anesthesiologists should know. The cases are succinct. The problem is described on one page and the solution on the next as well as a retrospective analysis that examines whether the solution used was actually the best (or only) choice or if other solutions might have provided equally satisfactory outcomes. Also included in the analyses are tips to help avoid the problem altogether, when possible. This book is an excellent review for the ABA oral exam and is an easy and practical way to prepare for the unexpected in the daily practice of clinical anesthesia.
Autor*in
John G. Brock-Utne, MD, PhD, FFA(SA)
Themen in »Clinical Anesthesia«
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